| NPI | 1194470252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: DC HYG1000509) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MI 2902015236) |
| 124Q00000X Dental Hygienist (Licence: VA 0402204607) | |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |